Provider Demographics
NPI:1720804065
Name:HARROW, SEAN BARRINGTON SR
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:BARRINGTON
Last Name:HARROW
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44A IOZIA TER
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2961
Mailing Address - Country:US
Mailing Address - Phone:201-618-7706
Mailing Address - Fax:
Practice Address - Street 1:44A IOZIA TER
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2961
Practice Address - Country:US
Practice Address - Phone:201-618-7706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0451063551342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company